臨床泌尿器科78巻1号

2024年01月発行

特集 泌尿器腹腔鏡手術ガイドラインを紐解く―EBMに基づいた手術選択

前立腺全摘除術―機能温存を最大化するための術式

著者： 秦淳也¹ 星誠二¹ 小島祥敬¹

所属機関： ¹福島県立医科大学医学部泌尿器科学講座

ページ範囲：P.52 - P.57

文献概要

▶ポイント

・腹腔鏡下/ロボット支援前立腺全摘除術における合併症には尿失禁と勃起機能障害がある．

・腹腔鏡下/ロボット支援前立腺全摘除術における尿失禁防止術は，骨盤内構造の温存，再建，補強の3つの術式に分類される．

・腹腔鏡下/ロボット支援前立腺全摘除術における勃起機能および尿禁制温存に対して，神経温存手術の有用性が示されているが，適応は考慮する必要がある．

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